Clayer M, Boatright C, Conrad E
Department of Orthaedics and Trauma, Queen Elizabeth Hospital, Woodville, South Australia.
Aust N Z J Surg. 1997 Dec;67(12):872-3. doi: 10.1111/j.1445-2197.1997.tb07616.x.
The occurrence of benign bone cysts adjacent to an active physis may be associated with a physeal arrest. That arrest may result from physeal penetration of the cysts itself, secondary pathologic fracture or the result of surgical curettage.
The pre-treatment X-rays of patients attending the Bone Tumor Clinic at the Children's Hospital and Medical Center were reviewed. Those patients presenting with a bone cyst were identified and the affected side was compared to the normal side in order to determine growth discrepancies.
Three cases of benign bone cysts are presented that were located adjacent to a growing physis nad produced growth disturbance in the absence of surgical intervention.
The risk of growth disturbance in itself should not be a contraindication to surgical intervention.
活跃生长板附近出现的良性骨囊肿可能与生长板停滞有关。这种停滞可能是由于囊肿本身穿透生长板、继发性病理性骨折或手术刮除的结果。
回顾了儿童医院和医疗中心骨肿瘤门诊患者的术前X线片。确定那些患有骨囊肿的患者,并将患侧与正常侧进行比较,以确定生长差异。
报告了3例良性骨囊肿病例,这些囊肿位于生长活跃的生长板附近,在未进行手术干预的情况下导致了生长紊乱。
生长紊乱本身的风险不应成为手术干预的禁忌证。